Provider Demographics
NPI:1891186359
Name:SAVOCA-FLETCHER, SUZANNE J (MED, NCSP, SP529)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:J
Last Name:SAVOCA-FLETCHER
Suffix:
Gender:F
Credentials:MED, NCSP, SP529
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 CEDAR RD.,
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026
Mailing Address - Country:US
Mailing Address - Phone:440-729-5900
Mailing Address - Fax:440-729-5959
Practice Address - Street 1:8615 CEDAR RD.,
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026
Practice Address - Country:US
Practice Address - Phone:440-729-5900
Practice Address - Fax:440-729-5959
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1196968103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool